POOJITHA MUMMANENI MD
NPI 1972066595
Student in an Organized Health Care Education/Training Program in Hemet, CA

Q: What is Poojitha Mummaneni's NPI number?

The NPI number for Poojitha Mummaneni is 1972066595. It was assigned to this individual provider in the NPPES registry on April 10, 2019.

Q: What is Poojitha Mummaneni's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 10, 2019PECOS EnrolledAccepts Medicare Assignment

1117 E DEVONSHIRE AVE, HEMET, CA 92543(951) 765-4848 Get Directions Write a Review

NPPES record last updated: November 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 21, 2022, Apr 10, 2019 (2 updates tracked since 2019).

On this page

About Poojitha Mummaneni Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POOJITHA MUMMANENI MD (NPI 1972066595) is an individual student in an organized health care education/training program in Hemet, California and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1972066595

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NamePOOJITHA MUMMANENICredential: MD

Location Address1117 E DEVONSHIRE AVEHemet, CA 92543-3083

Mailing Address1117 E Devonshire AveHemet, CA 92543-3083 · (951) 765-4848

Phone(951) 765-4848

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateApril 10, 2019

Last NPPES UpdateNovember 21, 20222 updates tracked since enumeration

✔ NPI 1972066595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1117 E DEVONSHIRE AVE, Hemet, CA 92543

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Poojitha Mummaneni Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991172702

PECOS Enrollment IDI20221108002919

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

19 services13 patients

Leave this field empty

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SYEDA QURRAT-UL-AIN KAIFEE DO

Student in an Organized Health Care Education/Training Program